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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Should I Do About High BP Despite Taking Verapamil?

My dr switched me from 249 mg verapamil to 100 mg of metoprolol succinctly. He had me transverse by cutting verapamil in half for 5 days and the other in half for 5 days then the full dosage of metoprolol. Today my blood pressure is 154/94 which is way up and that is after two days of cutting the verapamil in half. What should I do?
Fri, 29 Jul 2022
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General & Family Physician 's  Response
Hello,

You have not mentioned your age and have not given any medical history of any past illness or disease. Blood pressure is different for everyone as many factors can have an effect on the numbers. Blood pressure increases with age. An average of 120/80 is considered normal. Your BP is a little towards the higher side.

To control your blood pressure naturally, you should avoid taking salty food, limit salt intake and take adequate amount of water (stay hydrated). Take carrots, tomatoes, celery, moringa leaves, spinach, beet, citrus fruits, pumpkin seeds, berries in you regular diet to control your blood pressure naturally. Avoid alcohol, caffeine, sugar, trans fat, etc. Do regular walking in the morning and evening. If overweight, loose weight.

Certain heart diseases or developing cardiovascular disease may cause an increase in BP that may be difficult to control. In that case, get your heart checked, get physically examined by a cardiologist, get all routine cardiac tests, stress tests, echo, EKG, urinalysis, X-ray, lipid function tests done. The pathology causing high BP will be treated and your blood pressure will stay under control.

Take care. Hope I have answered your question. Let me know if I can assist you further.

Regards,
Dr. Nupur K., General & Family Physician
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Cardiologist Dr. Ilir Sharka's  Response
Hello,

You should know that both verapamil and metoprolol succinate act mainly by lowering your heart rate and have a low effect on high blood pressure values. For this reason, I recommend discussing with your doctor on the possibility of adding another anti-hypertensive drug (an ARB or ACEI) to your current therapy, in order to help maintain normal blood pressure values. You should discuss with your doctor on the above tests.

Take care. Hope I have answered your question. Let me know if I can assist you further.

Regards,
Dr. Ilir Sharka, Cardiologist
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What Should I Do About High BP Despite Taking Verapamil?

Hello, You have not mentioned your age and have not given any medical history of any past illness or disease. Blood pressure is different for everyone as many factors can have an effect on the numbers. Blood pressure increases with age. An average of 120/80 is considered normal. Your BP is a little towards the higher side. To control your blood pressure naturally, you should avoid taking salty food, limit salt intake and take adequate amount of water (stay hydrated). Take carrots, tomatoes, celery, moringa leaves, spinach, beet, citrus fruits, pumpkin seeds, berries in you regular diet to control your blood pressure naturally. Avoid alcohol, caffeine, sugar, trans fat, etc. Do regular walking in the morning and evening. If overweight, loose weight. Certain heart diseases or developing cardiovascular disease may cause an increase in BP that may be difficult to control. In that case, get your heart checked, get physically examined by a cardiologist, get all routine cardiac tests, stress tests, echo, EKG, urinalysis, X-ray, lipid function tests done. The pathology causing high BP will be treated and your blood pressure will stay under control. Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Nupur K., General & Family Physician